Substance abuse counselors help people address addiction and substance use disorders through assessment, treatment planning, counseling, and ongoing recovery support. On Ladders, explore vetted opportunities for experienced professionals, including roles in behavioral health organizations, hospitals, treatment centers, and community-based programs. Many listings target positions paying $100,000 or more, particularly for senior clinicians, program leaders, and specialized practitioners.
Responsibilities vary by setting and credentials, but may include evaluating clients, developing individualized care plans, conducting individual or group counseling, coordinating referrals, documenting progress, and supporting relapse prevention. Counselors often collaborate with physicians, therapists, social workers, and families to help clients navigate recovery.
Related titles include addiction counselor, substance use disorder counselor, clinical counselor, behavioral health therapist, recovery services manager, and addiction treatment program director. With experience and advanced qualifications, professionals may move into clinical supervision, program management, or organizational leadership.
Employers commonly seek strong counseling and communication skills, knowledge of evidence-based treatment approaches, sound clinical judgment, and experience with treatment documentation and care coordination. Licensing and certification requirements vary by state and employer. Some roles require a master’s degree, independent clinical licensure, or specialized credentials, while others accept different combinations of education and supervised experience.
Use Ladders to explore vetted professional jobs with compensation of $100,000 or more. Compare opportunities by seniority, location, employer, and responsibilities to identify roles that fit your experience and career goals. Review each listing carefully for its salary range, credential requirements, and work setting.
Licensed Professional Counselor of Mental Health (LPCMH)
$85K - $102K *
Deliver exceptional patient care as a licensed therapist, focusing on clinical excellence and collaboration. Enjoy a flexible schedule, competitive compensation, and a supportive work environment whil...
3 weeks ago
Licensed Professional Counselor of Mental Health (LPCMH)
$85K - $102K *
Elevate patient care by joining our team of licensed therapists dedicated to clinical excellence. Enjoy a flexible schedule, competitive compensation, and a supportive work environment focused on ment...
3 weeks ago
Director - Recovery from Additions Program- Temporary
$85K - $100K *
Join a team that's dedicated to enhancing recovery services for individuals with addiction. Oversee program management, ensure compliance with standards, and foster collaborative relationships to deli...
1 week ago
$79K - $93K *
Empower families by coordinating community-based services for children transitioning from institutional care. Engage clients through meaningful relationships while ensuring collaborative support from...
3 weeks ago
Assistant Director of Admissions $10K Sign-on
$80K - $90K *
Elevate admissions processes by leading a compassionate team that ensures quality patient intake strategies while enhancing facility growth. Drive the quality improvement initiatives to support both a...
4 weeks ago
$78K - $83K *
Lead the charge in clinical and administrative operations, providing oversight and support to an interdisciplinary team dedicated to enhancing the well-being of youth and families through trauma-infor...
1 week ago
$78K - $84K *
Join a team that's dedicated to providing impactful community-based care, leading clinical supervision, and enhancing lives through innovative treatment strategies within PACT Forensic Services...
3 weeks ago
ACO Behavioral Health Case Manager
$82K - $92K *
Champion member care by conducting assessments, coordinating services, and collaborating with interdisciplinary teams to enhance behavioral health support and improve access to quality care for ACO me...
3 days ago
Addiction Nurse Manager - Brookside Residential Center
$157K - $181K *
Lead and manage clinical operations to enhance patient care delivery, ensuring compliance and driving quality improvements while fostering teamwork and collaboration among healthcare professionals...
Reposted 2 days ago
$80K - $95K *
Lead the intake process by conducting comprehensive biopsychosocial assessments, guiding clients to appropriate care levels, and collaborating with the clinical team to ensure seamless treatment trans...
Reposted today
Associate Chief Medical Officer for Integrated Care and FQHC Development
$180K - $220K *
Elevate primary care delivery by leading strategic initiatives, ensuring compliance, and enhancing operational efficiency. Collaborate with multidisciplinary teams to develop innovative care models an...
2 days ago
Clinical Supervisor: Sign on bonus of $7,500!
$86K - $105K *
Innovate clinical oversight and program management, ensuring compliance with regulations while fostering staff development and delivering quality care to clients. Join a dedicated team committed to en...
6 days ago
Addiction Physician - Inpatient Detox
$350K *
Take ownership of medical services at a leading addiction treatment center, overseeing staff and ensuring compliance with healthcare standards while providing exceptional patient care and developing q...
1 week ago
$163K - $245K *
Champion clinical excellence by coordinating patient care and team processes, enhancing operational efficiency, and driving business development initiatives in a dynamic healthcare environment...
1 week ago
Clinical Supervisor (Massachusetts)
$90K - $110K *
Join a team that's dedicated to enhancing patient care by supervising clinical staff, ensuring compliance, and fostering a culture of excellence in palliative and hospice settings while driving qualit...
4 days ago
Child Welfare Consultant 12 - CSA
$72K - $104K *
Lead the enforcement of child welfare regulations, providing expert consultation and technical assistance to child caring institutions and agencies. Conduct investigations, assess applicant suitabilit...
4 days ago
$114K - $120K *
Join a team that's dedicated to providing compassionate mental health care. In this role, you'll conduct assessments, deliver therapy, and collaborate with a multidisciplinary team to support individu...
6 days ago
$114K - $120K *
Engage in transformative mental health care by providing clinical assessments, therapeutic interventions, and crisis support within a collaborative team, ensuring dignity and recovery for individuals...
6 days ago
Director of Admissions Acute $10K Bonus
$90K - $115K *
Play a key role in leading the Admissions Department, implementing strategic initiatives, managing operations, and enhancing collaboration to ensure quality mental health admissions for our patients i...
4 weeks ago
$72K - $93K *
Unlock potential by providing clinical services for individuals with behavioral health disorders. Collaborate with treatment teams to assess, diagnose, and implement effective therapeutic intervention...
2 weeks ago
$115K - $125K *
Lead healthcare services at a secure residential site, combining nursing expertise with operational management to ensure high-quality, compliant care while overseeing staff and improving service deliv...
3 weeks ago
Behavior Health Clinician I/II (Behavioral Health Therapist)
$75K - $117K *
Join our team to provide culturally sensitive mental health services, focusing on assessment, treatment, and case management for diverse populations. Collaborate with licensed supervisors and engage i...
Today
Board Certified Behavior Analyst
$87K - $93K *
Help us empower children through telehealth by providing expert ABA services. Collaborate with a supportive team to develop treatment plans and foster positive relationships, ensuring a nurturing envi...
1 week ago
Program Director / Team Leader (PACT Taunton)
$85K - $90K *
Unlock potential by leading a multidisciplinary team in delivering comprehensive treatment and support services for adults with severe mental illnesses, ensuring operational excellence and client-focu...
2 weeks ago
Psychiatric Mental Health Nurse Practitioner
$95K - $115K *
Elevate your career as a Psychiatric Mental Health Nurse Practitioner, providing comprehensive outpatient care. Collaborate with a dedicated team to deliver individualized treatment and make a meaning...
Yesterday
What does a substance abuse counselor do?
A substance abuse counselor assesses clients’ needs, supports treatment planning, provides individual or group counseling, tracks progress, and helps clients build strategies for recovery. Duties depend on the role, employer, and credentials.
What qualifications are needed for substance abuse counselor jobs?
Requirements vary by state and employer. Jobs may call for relevant education, supervised clinical experience, state licensure or certification, and training in addiction treatment. Senior or independently licensed roles may require a graduate degree and advanced credentials.
Can substance abuse counselors earn $100,000 or more?
Some experienced substance abuse counselors and related professionals earn $100,000 or more, especially in senior clinical, supervisory, specialized, or program leadership positions. Compensation depends on location, qualifications, employer, and scope of responsibility.
Where do substance abuse counselors work?
They work in settings such as addiction treatment centers, hospitals, behavioral health clinics, community organizations, and other recovery or social service programs.
What are common career paths for substance abuse counselors?
Career paths can include clinical specialization, independent counseling, clinical supervision, treatment program management, and behavioral health leadership. Advancement often depends on experience, education, and applicable licensure.